Vaping-associated lung injury

Case contributed by Dr Michael P Hartung


Shortness of breath and cough with recent vaping history.

Patient Data

Age: 20 years

Presentation (Day 1)

Subtle patchy reticular thickening in both lungs. 


Day 2

New bilateral lower lobe predominant patchy opacities, right greater than left.


Day 3

Extensive symmetric bilateral groundglass and reticular opacities in a brochovascular distribution with subpleural sparing affecting all lobes, worsened since the radiograph 1 day prior. 

Case Discussion

Young patient with vaping history presenting with shortness of breath and progressive acute lung injury. Presentation radiograph (Day 1) has very subtle findings, which progressed to more pronounced diffuse acute lung injury over 3 days.

The supporting history of vaping in a young patient helps to make this diagnosis. On Day 2, the lower lobe predominant process supports vaping-induced lung injury. On Day 3, the Chest CT highlights features described with vaping including groundglass opacities and subpleural sparing. 

PlayAdd to Share

Case information

rID: 71664
Published: 16th Oct 2019
Last edited: 24th Jan 2020
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.